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Individual

LYNLEE RENEE TANNER STAPLETON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2121 EISENHOWER AVE, STE 230, ALEXANDRIA, VA 22314-4698
(202) 999-9999
Mailing address
2121 EISENHOWER AVE, STE 230, ALEXANDRIA, VA 22314-4698

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary
0810005048
VA

Other

Enumeration date
07/26/2007
Last updated
04/24/2017
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